支架自显影体外定位体外开窗技术治疗近端锚定区不足的主动脉弓部疾病
Self-radiopaque marker guiding physician modified fenestration technique for the treatment of aortic arch diseases with insufficient proximal anchoring area
罗成林 1王庆 1谭杰 1兰斌1
作者信息
- 1. 410005 湖南长沙 湖南省人民医院介入血管外科
- 折叠
摘要
目的 探讨支架自显影体外定位体外开窗技术治疗近端锚定区不足的主动脉弓部病变的应用价值.方法 2021年10月至2023年3月湖南省人民医院共收治8例近端锚定区位于Z0区的主动脉夹层/动脉瘤患者,均接受支架自显影体外定位体外开窗技术进行腔内修复治疗,随访观察该技术的安全性及有效性.结果 8例患者手术均获成功,1例出现Ⅰ型内漏,6个月内漏消失.未发生围手术期死亡、脑卒中或截瘫等并发症.结论 采用支架自显影体外定位体外开窗技术治疗近端锚定区不足的主动脉弓部疾病,中短期效果满意,但远期效果仍需观察.
Abstract
Objective To discuss the clinical application of self-radiopaque marker guiding physician modified fenestration technique in treating aortic arch diseases with insufficient proximal anchoring area.Methods From October 2021 to March 2023,a total of 8 patients with aortic dissection/aneurysm located in area Z0 received thoracic endovascular aortic repair(TEVAR)by using self-radiopaque marker guiding physician modified fenestration technique.The patients were followed up to observe the safety and efficacy of this technique.Results Successful TEVAR was accomplished in all the 8 patients.Type Ⅰ endoleak occurred in one patient,which disappeared within 6 months.No perioperative death,stroke or paraplegia occurred.Conclusion For the treatment of aortic arch diseases with insufficient proximal anchoring area,TEVAR by using self-radiopaque marker guiding physician modified fenestration technique is clinically safe and effective with satisfactory short-to-medium-term effect,although its long-term effect needs further observation.
关键词
主动脉弓/自显影/覆膜支架/腔内治疗Key words
aortic arch/self-radiopaque/covered stent/endovascular treatment引用本文复制引用
基金项目
湖南省科技重大专项项目(H2021-30)
湖南省自然科学基金(2024JJ5227)
出版年
2024
NETL
NSTL
万方数据